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Other Considerations Avoid sugar, smoking and caffeine all can increase homocysteine Low B-12 levels are not necessarily caused by low intake or decreased absorption, but also by increased utilization by abnormal bowel flora Hypothyroidism raises homocysteine

Bottom line for the post-procedure patient: Post-procedure does not mean post-cause

The P protein catalyzes the decarboxylation of glycine and transfers the methylamine residue (CH 2 -NH 2 ) to the lipoyl moiety of the H protein

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Nevertheless, they point out that they used three methods of analysis and all provided similar results, adding certainty to their findings